Dynamic Evaluation Center of South Texas, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DYNAMIC EVALUATION CENTER OF SOUTH TEXAS, LLC

Doing business as

Dynamic Performance Physical Therapy and Rehabilitation

Practice address

5920 Saratoga Blvd
Suite 645
Corpus Christi, TX 78414-4103

Phone

(361) 851-0209

Fax

(361) 851-0147

NPI assigned

Jul 28, 2005

Last updated

Dec 19, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Diana H Rodriguez, NCMOA

Title

Administrator

Phone

(361) 851-0209

Specialties & licenses 2

Addresses

Other names 1

• Dynamic Performance Physical Therapy and Rehabilitation Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Louisa Perez, PHYSICAL THERAPIST

  • Physical Therapist
  • Corpus Christi, TX
  • NPI 1366596256
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1952301145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD",
            "address_2": "SUITE 645",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144103",
            "telephone_number": "361-851-0209",
            "fax_number": "361-851-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD",
            "address_2": "SUITE 645",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144103",
            "telephone_number": "361-851-0209",
            "fax_number": "361-851-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC EVALUATION CENTER OF SOUTH TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-851-0209",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NCMOA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Performance Physical Therapy and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dalia Duzdar, MD
• J. Michael Dwyer, M.D.
• Sara Beth Dwyre, R.N.
• Lydia Dyckman, M.S.
• James Mitchell Dye, M.D.
• Dynamic Orthopedic Physical Therapy Wellness Clinic, LLC
• Adriana E Dyurich, PHD, LPC
• Mireille Dziuk, APRN, FNP-C
• E Todd Rogoff MD PA
• E&L Construction

• Physical Therapist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.